THE ROLE OF EVIDENCE-BASED PRACTICE IN THE FIELD OF PHYSIOTHERAPY AND REHABILITATION IN TÜRKİYE FROM THE PERSPECTIVES OF STUDENTS, ACADEMICIANS, AND CLINICIANS: A PILOT STUDY

Abstract

Purpose: Evidence-based practice (EBP) is a method based on high-quality clinical research and practice. According to the World Confederation for Physical Therapy, EBP training should be at the forefront of physiotherapy practice recommendations. The aim of our study is to investigate the place of EBP and the barrier to it in the field of physiotherapy and rehabilitation in Türkiye from the perspective of students, academicians and clinicians. Methods: The study was planned as a pilot study. The study was carried out with all students, academicians and clinicians in the field of physiotherapy and rehabilitation that could be reached during the study. In the evaluation, the “EBP Scale” consisting of 28 questions and a form prepared by the researchers questioning the opinions, knowledge level and obstacles to EBP were used. The study data were collected by creating a web-based form. Results: Our study was conducted with a total of 97 people, 44 students, 22 academicians and 31 clinicians. In the responses to the factors that prevent EBP, “Obtaining an order (doctor’s instructions for treatment)” was stated as the first obstacle by 51.06% of students, 31.57% of academicians and 33.33% of clinicians. When the total EBP scale scores were compared between the three groups, statistically significant differences were found (p=0.000). Conclusion: When the results of our study were examined, it was seen that the knowledge and attitudes of physiotherapists in different fields regarding EBP varied, but in common, the main factor that made EBP difficult for students, clinicians and academicians in the field of physiotherapy and rehabilitation in Türkiye was the “taking orders” factor.

Keywords

• Clinicians
• Evidence-based practice
• Physical therapy
• Rehabilitation

TÜRKİYE’DE FİZYOTERAPİ VE REHABİLİTASYON ALANINDA, ÖĞRENCİ, AKADEMİSYEN VE KLİNİSYEN BAKIŞ AÇISIYLA KANITA DAYALI UYGULAMANIN YERİ: PİLOT ÇALIŞMA

Öz

Amaç: Kanıta dayalı uygulama (KDU), yüksek kaliteli klinik araştırmalara ve uygulamalara dayanan bir yöntemdir. Dünya Fizyoterapi Konfederasyonu’na göre KDU eğitimi fizyoterapi uygulama önerilerinin başında gelmelidir. Çalışmamızın amacı Türkiye’de fizyoterapi ve rehabilitasyon alanında, öğrenci, akademisyen ve klinisyen bakış açısıyla KDU’nun yerini ve önündeki engelleri araştırmaktır. Yöntem: Çalışma pilot çalışma olarak planlanmıştır. Çalışma süresince ulaşılabilecek bütün fizyoterapi ve rehabilitasyon alanında olan öğrenci, akademisyen ve klinisyenler ile çalışma gerçekleştirilmiştir. Değerlendirmede 28 sorudan oluşan “KDU Ölçeği” ve çalışmacılar tarafından hazırlanan KDU konusundaki görüşler, bilgi seviyesi, önündeki engellerin sorgulandığı bir form kullanılmıştır. Çalışma verileri web tabanlı bir form oluşturularak toplanmıştır. Bulgular: Çalışmamız 44 öğrenci, 22 akademisyen ve 31 klinisyen olmak üzere toplam 97 kişi ile gerçekleştirilmiştir. KDU’yu engelleyen faktörler cevaplarında “Order (tedavide hekim talimatı) almak” öğrencilerde %51,06, akademisyenlerde ve %31,57 klinisyenlerde %33,33 oranla ilk engel olarak belirtilmiştir. KDU ölçeği toplam puanları üç grup arasında karşılaştırıldığında istatistiksel olarak anlamlı farklar olduğu tespit edilmiştir (p=0,000). Sonuç: Çalışmamızın sonuçlarına bakıldığında farklı alanlarda bulunan fizyoterapistlerin KDU bilgi ve tutumlarının farklılıklar gösterdiği fakat ortak olarak Türkiye’de fizyoterapi ve rehabilitasyon alanında, öğrencilerin, klinisyenlerin ve akademisyenlerin KDU zorlaştırıcılarının başında “Order almak” faktörünün olduğu görülmüştür.

Anahtar Kelimeler

• Klinisyen
• Kanıta dayalı uygulama
• Fizik tedavi
• Rehabilitasyon

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